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Orthopedists -- the doctors who most often deal with scoliosis patients -- have three treatments. 1) Observation, which is not really a treatment but simply monitoring to see if it gets worse. 2) A body brace, a kind of stiff corset, usually prescribed for teens who are still growing, in the hope that it will slow or stop progression of abnormal spinal curves. 3) Spinal fusion surgery, generally indicated if the main curve progresses beyond 45-50 degrees. The purpose of surgery is to prevent further progression, or to relieve pain in adults. Orthopedists in the US and the UK do not usually believe that exercises or any intervention other than a brace or surgery will help a scoliosis patient.

In Germany, however, orthopedists routinely refer patients to a Schroth clinic for physical therapy treatment. The Schroth method of scoliosis treatment has been standard practice there since the 1960s, and was developed in the 1920s. Because every case of scoliosis involves imbalances of strength, length, and thickness of spinal and other muscles, a Schroth therapist first diagnoses the individual patient's scoliosis and then designs a regime of exercises that will strengthen weak muscles and stretch tight ones. A chiropractor or conventional physical therapist may be able to relieve scoliosis pain symptoms temporarily, as can a massage therapist. But if the scoliosis patient's posture is not addressed and improved by exercise therapy, pain will persist and can increase later in life.

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16y ago

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